Individual
TIFFANY CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2740 COLLEGE AVENUE, CONWAY, AR 72034-9310
(501) 329-5459
(501) 327-1738
Mailing address
2505 GLADIOLA, CONWAY, AR 72034-8458
(501) 548-0926
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT2852
AR
Other
Enumeration date
01/08/2007
Last updated
09/13/2007
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